NPI | 1922393891 |
---|---|
Former Name | MARIE A. KIERAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: CT 54175) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 248625) |
207R00000X Internal Medicine (Licence: CT 054175) | |
208000000X Pediatrics (Licence: CT 054175) | |
Enumeration Date | 2011-06-18 |
Last Update Date | 2015-07-02 |